AB1407 EFFECTIVENESS OF TREATMENT OF FACET SYNDROME BY THE METHOD OF BLOCKADE OF INTERVERTEBRAL JOINTS UNDER ULTRASOUND CONTROL
Authors: T. Tarasenko, O. Tarasenko
Journal: Annals of the Rheumatic Diseases (2023)

<h3>Background</h3> recently there has been an increase in the prevalence of facet syndrome (spondyloarthrosis) in back pain syndromes. This is due to hypodynamia, increased body weight, and the increase in the specific gravity of the so-called "sedentary" professions. With hypertrophy of the intervertebral joints, there is chronic compression of the Lyushka nerve (return nerve), which directly causes pain, as well as constant spasm of the innervating muscles. In the treatment of facet syndromes, many methods are used - drug treatment, massage, various physical methods of influence, etc., but none of these methods provides quick relief from the pain syndrome. The blockade method has been used for a long time with considerable success, but even more works are appearing that show much better efficiency of these manipulations with high-precision introduction of drugs under ultrasound or X-ray control. <h3>Objectives</h3> to determine the effectiveness of blockades of intervertebral joints under ultrasound control in facet syndrome. <h3>Methods</h3> we conducted a study of patients in whom the clinical manifestations of the facets of the lumbosacral spine syndrome were confirmed by radiological research methods (radiographic or MRI). The level of pain syndrome was assessed according to the VAS scale before the start of treatment and after 1 and 7 days after the start of treatment. Along with traditional treatment (NSAIDs, muscle relaxants, etc.), facet blockade was performed under ultrasound control. <h3>Results</h3> 50 patients (22 women and 28 men) were included. The average age was 43.28 years±0.80 years. 56.42% of patients were overweight. The average body mass index was 28.18±0.43 kg/m2. 80% of patients had multilevel facet syndrome L3-S1. 20% of patients had a monofacet syndrome at the level of L4-L5 or L5-S1. Patients were divided into 2 groups of 25 people. Patients of both groups were prescribed drug therapy with NSAIDs and muscle relaxants. The patients of the first group were additionally subjected to facet blockade under ultrasound control, and a solution of corticosteroid and local anesthetic was injected into the affected areas. Depending on the number of lesion levels, a multilevel procedure was performed. Before the procedure, the average pain level according to VAS in patients of the 1st group was 84±1.7 mm, in the 2nd group - 82±2.3 mm. After 1 day, the pain level in patients of the 1st group was 31±4.2 mm, while in the 2nd - 72±2.8 mm. 7 days after the start of treatment and manipulation, the pain level was 28±2.9 mm in the 1st group and 51±3.7 mm in the second group of patients (who were not manipulated). <h3>Conclusion</h3> the method of facet blockade under ultrasound control is a modern, low-traumatic, highly effective method in the complex treatment of facet syndrome. <h3>References</h3> [1]Shuba N, Voronova T, Tarasenko T, Krylova A. New aspects of the pathogenesis of osteoarthritis and ways of correction. Ukr.Rheumatol.J. 2012, 47(1):51-73. [2]Tarasenko O. et al. Acquired pseudarthrosis of long tubular bones: causes of formation, features of treatment and prevention. Int.scient.J. "Grail of Science". 2021,9:418–420. [3]Tarasenko O. et al. Modern methods of treatment of neurocompressive pain syndromes in the cervical spine. Ukr. Bul. of Medical and Social Expertise. 2015, 18(4):46-51. [4]Tarasenko O. Assessment of the consequences of spinal cord injuries using the international classification of functioning in the practice of medical and social examination. Ukr.Neurosurg.J. 2016, 4:13-17. <h3>Acknowledgements:</h3> NIL. <h3>Disclosure of Interests</h3> None Declared.